PROSPECTUS
Cytomedix,
Inc.
Resale
of 7,866,131 shares of Common Stock
We are
registering shares of common stock for resale on behalf of our shareholders, or
Selling Shareholders, named in the section of this prospectus titled “Selling
Security Holders.” The following shares may be offered, from time to time, for
resale under this prospectus:
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4,128,631
shares of common stock underlying warrants issued in the April 2010
offering;
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1,000,000
shares of common stock underlying warrants pursuant to Guaranty Agreements
entered into in April 2010; and
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up
to 2,737,500 shares of common stock that we may issue as dividends on the
Series D Convertible Preferred
Stock.
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The
Selling Shareholders may sell these securities from time to time on the NYSE
Amex or any exchange on which we may be listed in the future at the prevailing
market price or in negotiated transactions or in any other manner specified
under “Plan of Distribution” in this prospectus.
Although
we will pay substantially all the expenses incident to the registration of the
shares, we will not receive any proceeds from the sales by the Selling
Shareholders. We will, however, receive proceeds if the warrants are exercised,
unless the warrants are exercised on a cashless basis by the holders; to the
extent we receive such proceeds, they will be used for working capital
purposes.
Our
common stock is presently quoted for trading under the symbol “GTF.BC” on the
NYSE Amex. On October 12, 2010, the last sales price of the common stock, as
reported on the NYSE Amex was $0.47 per share.
Investing
in our common stock is highly speculative and involves a high degree of risk.
You should purchase these securities only if you can afford a complete loss of
your investment. You should carefully consider the risks and uncertainties
described under the heading “Risk Factors” beginning on page 3 of this
prospectus before making a decision to purchase our common stock.
Neither
the Securities and Exchange Commission nor any state securities commission has
approved or disapproved of these securities or determined whether this
prospectus is truthful or complete. Any representation to the contrary is a
criminal offense.
The date
of this prospectus is November 3, 2010.
Table
of Contents
Prospectus
Summary
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1
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Risk
Factors
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3
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Cautionary
Note Regarding Forward Looking Statements
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9
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Use
of Proceeds
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9
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Selling
Security Holders
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10
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Description
of Securities to be Registered
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13
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Plan
of Distribution
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16
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Legal
Matters
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18
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Experts
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18
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Where
You Can Find More Information
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19
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PROSPECTUS
SUMMARY
Our
Company
We are a
biotechnology company that develops, sells, and licenses regenerative biological
therapies to primarily address the areas of wound care, inflammation, and
angiogenesis. We currently market the AutoloGel™ System, a device for the
production of platelet rich plasma (“PRP”) gel derived from the patient’s own
blood. The AutoloGel System is cleared by the Food and Drug Administration
(“FDA”) for use on a variety of exuding wounds. We are currently pursuing a
multi-faceted strategy to penetrate the chronic wound market with our AutoloGel
System. We are also pursuing opportunities for the application of AutoloGel and
PRP technology into other markets such as hair transplantation and orthopedics,
as well as actively seeking complementary products for the wound care market. We
sell our products primarily to health care providers in the United States and
have modest distribution arrangements in Europe and Canada.
In April
2010, we acquired the Angel® Whole Blood Separation System (“Angel®”) and
ActivAT® Autologous Thrombin Processing Kit (“ActivAT®”) from Sorin Group USA,
Inc. Used primarily in operating rooms, Angel® is used for separation of whole
blood into red cells, platelet poor plasma and platelet rich plasma. ActivAT® is
designed to produce autologous thrombin serum from platelet poor plasma and is
sold exclusively in Europe and Canada, where it provides a completely
autologous, safe alternative to bovine-derived products. The Angel®
Whole Blood Separation System, which received market clearance from the U.S.
Food and Drug Administration in August 2005, consists of a blood processing
device and disposable products used for separation of whole blood into red blood
cells, platelet poor plasma and platelet rich plasma. We expect that sales
growth of these products will be driven through a combination of strengthened
distributor relationships, collaborative agreements, and direct sales. We expect
commercial synergies with AutoloGel™ will increase sales efficiency and help
drive growth. Sales growth outside of the U.S. will be managed through
distributor agreements.
The terms
“we,” “us,” “our company,” “our” refer to Cytomedix, Inc., a Delaware
corporation.
Sorin
Asset Acquisition and Private Placement
On April
9, 2010, we, through our wholly-owned subsidiary, Cytomedix Acquisition Company,
LLC, entered into an Asset Purchase Agreement with Sorin Group USA, Inc., a
Delaware corporation, or Seller, to buy all title and interest in certain assets
of and assume certain liabilities in Seller’s operation of the Angel® systems
(including the whole blood separation system, the blood processing kit and blood
accessing kit) and ActivAT® businesses (the “Business”). The Angel System is a
device that utilizes validated blood separation technology to separate platelets
and plasma from other components of a patient’s blood. The device provides the
necessary flexibility and sophistication for more complex clinical situations.
The ActivAT technology facilitates the preparation of autologous human thrombin
and currently is sold exclusively in Europe and Canada. We believe that the
Angel and ActivAT technologies acquired from the Sorin Group will provide us
with immediate access to surgical and orthopedic markets. By acquiring the Angel
System, we became the only supplier of PRP technology with FDA cleared
indications for both topical use in wound care and surgical use.
Under the
terms of the agreement, we agreed to pay to the Seller an aggregate amount equal
to $7 million, payable as follows: (i) $2 million paid on April 9, 2010, the
closing date of transaction, and (ii) $5 million to be paid under the terms of a
Promissory Note in principal amount of $5 million with interest accruing at 2.7%
per annum (the “Promissory Note” and the amounts outstanding under the
Promissory Note, the “Outstanding Amount”). We also entered into several side
agreements, including without limitation, Transition Agreements, Asset Transfer
and Assumption Agreements, to facilitate the transition and these transactions.
The acquisition of the Business closed on April 9, 2010.
On April
9, 2010, we entered into subscription agreements with certain accredited
investors (the “Purchasers”), with respect to the sale of our (i) 10% Series D
Convertible Preferred Stock (the “Preferred Stock”), and (ii) warrants to
purchase shares of common stock of the Company (the “Warrants”) (together, the
“Securities”), for gross proceeds of $3.65 million (the “April 2010 Offering”),
$2.0 million of which was used to pay the purchase price up front in connection
with the Sorin acquisition and the balance to be used for general corporate and
working capital purposes. All Purchasers in the April 2010 Offering were
‘‘accredited investors’’ (as such term is defined in Rule 501(a) of Regulation D
under the Securities Act of 1933, as amended (the ‘‘Securities Act’’)), and we
sold the securities in the April 2010 Offering in reliance upon an exemption
from registration contained in Section 4(2) and Rule 506 under the Securities
Act. The investors in the April 2010 Offering were also issued
five-year warrants to purchase, in the aggregate, 4,128,631 shares of common
stock, or 50% of the shares of common stock underlying the Preferred Stock in
the April 2010 Offering, at an exercise price per share of $0.5368. Each Warrant
is exercisable immediately on the date of issuance, subject to the numeric
limitation discussed below, and will expire on April 9, 2015.
We also
entered into a registration rights agreement with the Purchasers, under which we
agreed to provide the Purchasers with registration rights for the common stock
underlying the Warrants and the Preferred Stock sold in connection with the
April 2010 offering. Please see
Description of Securities to be
Registered
on page 13 for additional
discussion relating to this Registration Rights Agreement.
For
accounting purposes, the Preferred Stock in connection with the April 2010
Offering is treated as shareholders’ equity on our balance sheet. Common stock,
if and when issued upon exercises of the Warrants in the same offering, will
also be treated as shareholders’ equity and the cash proceeds of such warrant
exercises, to the extent we receive such proceeds, will be used for general
corporate and working capital purposes, as we may deem appropriate.
NYSE
Amex - Approval of the Plan of Compliance
We were
notified by the NYSE Amex LLC (the “Exchange”) of our non-compliance with
Sections 1003(a)(i), 1003(a)(ii) and 1003(a)(iii) of the Exchange Company Guide
relating to our shareholders’ equity. On July 24, 2009, we received a letter
from NYSE Amex indicating that the Exchange accepted our plan of compliance and
granted us an extension until November 12, 2010 to regain compliance with the
Exchange’s continued listing requirements. We are required to provide the
Exchange staff with updates on our progress relating to the execution of the
plan so as to enable the Exchange staff to review our adherence to the plan
during the extension period. Failure to regain compliance with the continued
listing standards by the end of the extension period or to make progress
consistent with the plan of compliance during the extension period could result
in our being delisted from the Exchange. We maintain regular dialogue with the
Exchange staff regarding our progress.
Corporate
Information
Our
principal offices are located at 209 Perry Parkway, Suite 7, Gaithersburg,
MD 20877 and our telephone number is (240) 499-2680. Our website
address is
http://www.cytomedix.com
.
Information contained on our website
is not deemed part of this prospectus
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THE
OFFERING
Common
stock currently outstanding
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41,767,127
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Common
stock offered by the Company
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None.
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Common
stock offered by the selling stockholders in accordance
herewith
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7,866,131
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Use
of proceeds
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We
will not receive any proceeds from the sale of shares in this offering by
the selling stockholders. However, we will receive proceeds from the
exercise of the warrants if the warrants are exercised for
cash.
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NYSE
Amex
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GTF.BC
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Risk
Factors
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You
should carefully consider the information set forth in this prospectus
and, in particular, the specific factors set forth in the “Risk Factors”
section beginning on page
3
of this prospectus
before deciding whether or not to invest in shares of our common
stock.
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RISK
FACTORS
Before
making an investment decision, you should carefully consider the risks described
under “Risk Factors” in our most recent Annual Report on Form 10-K, as amended
and restated to date, and in our updates to those Risk Factors in our Quarterly
Reports on Form 10-Q, together with all of the other information appearing in
this prospectus or incorporated by reference into this prospectus, in light of
your particular investment objectives and financial circumstances. These risk
factors should be considered in connection with evaluating the forward-looking
statements contained in this prospectus because these factors could cause the
actual results and conditions to differ materially from those projected in
forward-looking statements. This section does not describe all risks applicable
to our business, and we intend it only as a summary of certain material
factors. Our business, financial condition or results of operations
could be materially adversely affected by any of these risks. The trading price
of our securities could decline due to any of these risks, and you may lose all
or part of your investment. The risks and uncertainties described below are not
the only ones we face. Additional risks and uncertainties not presently known to
us or that we currently deem immaterial may also impair our business operations.
If any of the following risks actually occurs, our business, financial condition
and results of operations could be materially and adversely affected. As a
result, the trading price of our common stock could decline, and you could lose
part or all of your investment.
There
is Substantial Doubt As to Our Ability to Continue As a Going
Concern
We have
suffered recurring losses from operations and have insufficient liquidity to
fund the ongoing operations which raise substantial doubt about our ability to
continue as a going concern. In addition, our financial statements have been
prepared on the assumption that we will continue as a going concern, which
contemplates the realization of assets and liquidation of liabilities in the
normal course of business. However, there is substantial doubt about our ability
to continue as a going concern. Accordingly, we will need to increase sales
volume and obtain additional capital to continue as a going concern and to fund
our operations, including to:
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Continue
and increase investment in sales and marketing activities related to the
AutoloGel System;
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Pursue
a strategic partner for CT-112;
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Develop
additional new products and/or make improvements to existing
products;
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Conduct
additional trial(s) or studies to support efforts to obtain CMS
reimbursement for our products;
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Pursue
existing and new claims covered by intellectual property we own or
contemplate;
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Manage
and integrate successfully the recent acquisition of the Sorin
assets;
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Assume
and satisfy certain liabilities related to the Sorin business, and service
the deferred payments on the same
acquisition;
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Sustain
our corporate overhead requirements and hire and retain necessary
personnel; and
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Pursue
other potential attractive
opportunities;
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Until we
can generate a sufficient amount of product revenue to finance our cash
requirements, which we may not accomplish, we expect to finance future cash
needs primarily through offerings of our debt or equity securities, strategic
collaborations, or government grants. We do not know whether additional funding
will be available on acceptable terms, or at all. If we are not able to secure
additional funding when needed, we may have to delay, reduce the scope, or
eliminate one or more of our programs, or substantially curtail or close our
operations altogether. In addition, we may have to partner one or more of our
technologies at an earlier stage of development, which could lower the economic
value of those programs to us.
We
Have Limited Sources of Working Capital
Because
we were in bankruptcy in 2002 and due to the rights of some of our preferred
shareholders, we may not be able to obtain debt financing. Working capital
required to implement our business plan will most likely be provided by funds
obtained through offerings of our equity securities, and revenues generated by
us. No assurance can be given that we will have revenues sufficient
to support and sustain our operations or that we would be able to obtain equity
financing in the current economic environment. To date, the overwhelming
majority of our revenues have been provided by our licensing agreements.
However, these agreements expired in November 2009. There is no assurance that
we will be able to replace these revenues through product sales, new licensing
agreements or other sources. If we do not have sufficient working capital and
are unable to generate revenues or raise additional funds, we may delay the
completion of or significantly reduce the scope of our current business plan;
delay some of our development and clinical or marketing testing, our plans to
pursue Medicare and/or commercial insurance reimbursement for our wound
treatment technologies; or postpone the hiring of new personnel; or, under
certain dire financial circumstances, cease our operations.
There
is No Assurance that We Will Successfully Integrate the Angel and
ActivAT Business; nor that We Will Realize the Anticipated Synergies
of the Combined Businesses
The
Angel and ActivAT business represent a significant
increase in volume and revenue compared to our existing product line of
AutoloGel. There is no assurance that we will successfully integrate any or all
of the various aspects to the acquired business, including but not limited to
the sales, marketing, manufacturing, distribution, regulatory, and other
functions. Failure to smoothly and successfully integrate the acquired business
could lead to a reduction in revenue for the Angel and
ActivAT products compared to historical levels, generate ill will
among its customer base, and therefore have a material adverse affect on our
operations or the price of our securities. Furthermore, there is no assurance
that we will realize synergies in the sales, marketing, distribution,
reimbursement, or other areas. Nor is there any assurance that we will realize
any anticipated economies of scale for the combined businesses.
Adverse
Conditions in the Global Economy and Disruption of Financial Markets May
Significantly Restrict Our Ability to Generate Revenues or Obtain Debt or Equity
Financing
The
global economy continues to experience volatility and uncertainty. Such
conditions could reduce demand for our products which would significantly
jeopardize our ability to achieve meaningful market penetration for AutoloGel
and continued sales of Angel and ActivAT products. These conditions could also
affect our potential strategic partners, which, in turn, could make it much more
difficult to execute a strategic collaboration, and therefore significantly
jeopardize our ability to fully develop CT-112. Global credit and capital
markets continue to be relatively challenging. We may be unable to obtain
capital through issuance of our equity securities, a significant source of
funding for us throughout our history. If we are unable to secure funding
through strategic collaborations, equity investments, or debt financing, we may
not be able to achieve profitability which may result in a cessation of
operations.
Business
credit and liquidity have tightened in much of the world. Volatility and
disruption of financial markets could limit our customers’ ability to obtain
adequate financing or credit to purchase and pay for our products in a timely
manner, or to maintain operations, and result in a decrease in sales volume.
General concerns about the fundamental soundness of domestic and international
economies may also cause customers to reduce purchases. Changes in governmental
banking, monetary and fiscal policies to restore liquidity and increase credit
availability may not be effective. Economic conditions and market turbulence may
also impact our suppliers’ ability to supply sufficient quantities of product
components in a timely manner, which could impair our ability to fulfill sales
orders. It is difficult to determine the extent of the economic and financial
market problems and the many ways in which they may affect our suppliers,
customers, investors, and business in general. Continuation or further
deterioration of these financial and macroeconomic conditions could
significantly harm sales, profitability and results of operations.
Economic
downturns or other adverse economic changes (local, regional, or national) can
also hurt our financial performance in the form of lower interest earned on
investments and/or could result in losses of portions of principal in our
investment portfolio. While our investment policy requires us to invest only in
short-term, low risk investments, there is no assurance that principal will not
be eroded as a significant portion of these investments is in excess of
federally mandated insurance.
We
May Not Regain Compliance with NYSE Amex Continued Listing Criteria
As a NYSE
Amex listed company, we are required to comply with the continued listing
criteria of the exchange. We currently do not meet the minimum shareholders’
equity requirements per Sections 1003(a)(i), 1003(a)(ii) and 1003(a)(iii) of the
Exchange Company Guide. On July 24, 2009, we received a letter from NYSE Amex
indicating that the Exchange accepted our plan of compliance and granted us an
extension until November 12, 2010 to regain compliance with the Exchange’s
continued listing requirements. In order to regain compliance, we will need to,
among other things, increase our shareholders’ equity balance to at least $6
million. We are required to provide the Exchange staff with updates on our
progress relating to the execution of the plan so as to enable the Exchange
staff to review our adherence to the plan during the extension period. Failure
to regain compliance with the continued listing standards by the end of the
extension period or to make progress consistent with the plan of compliance
during the extension period could result in us being delisted from the Exchange.
There is no assurance that we will execute our compliance plan as intended or by
the November 12, 2010 deadline. If we fail to reach the compliance goals set
forth in the plan, we would likely be delisted from NYSE Amex, which could
significantly reduce the active market for and liquidity of our
stock.
We
Have a History of Losses
We have a
history of losses, are not currently profitable, and expect to incur substantial
losses and negative operating cash flows for the foreseeable future. We may
never generate sufficient revenues to achieve and maintain profitability. We
will continue to incur expenses at current levels as we seek to expand our
operations, pursue development of our technologies, work to increase our sales,
implement internal systems and infrastructure, and hire additional personnel.
These ongoing financial losses may adversely affect our stock
price.
We
Have a Short Operating History and Limited Operating Experience
We must
be evaluated in light of the uncertainties and complexities affecting an early
stage biotechnology company. We have only recently implemented our
commercialization strategy. Thus, we have a very limited operating history.
Continued operating losses, together with the risks associated with our ability
to gain new customers for our product offerings, may have a material adverse
effect on our liquidity. We may also be forced to respond to unforeseen
difficulties, such as a decreased demand for our products, downward pricing
trends, and services, regulatory requirements and unanticipated market
pressures. Since emerging from bankruptcy and continuing through today, we are
developing a business model that includes protecting our patent position,
addressing our third-party reimbursement issues, developing and executing a
sales and marketing program, and developing other technologies covered by, or
derived from, our intellectual property. There can be no assurance that our
business model in its current form can accomplish our stated goals.
Our
Intellectual Property Assets Are Critical to Our Success
We regard
our patents, trademarks, trade secrets, and other intellectual property assets
as critical to our success. We rely on a combination of patents, trademarks, and
trade secret and copyright laws, as well as confidentiality procedures,
contractual provisions, and other similar measures, to establish and protect our
intellectual property. We attempt to prevent disclosure of our trade secrets by
restricting access to sensitive information and requiring employees,
consultants, and other persons with access to our sensitive information to sign
confidentiality agreements. Despite these efforts, we may not be able to prevent
misappropriation of our technology or deter others from developing similar
technology in the future. Furthermore, policing the unauthorized use of our
intellectual property assets is difficult and expensive. Litigation has been
necessary in the past and may be necessary in the future in order to protect our
intellectual property assets. Litigation could result in substantial costs and
diversion of resources. We cannot assure that we will be successful in any
litigation matter relating to our intellectual property assets. Continuing
litigation or other challenges could result in one or more of our patents being
declared invalid. In such a case, any royalty revenues from the affected patents
would be adversely affected although we may still be able to continue to develop
and market our products. Furthermore, the unauthorized use of our patented
technology by otherwise potential customers in our target markets, may
significantly undermine our ability to generate sales.
Our
patent covering the specific gel formulation that is applied as part of the
AutoloGel™ System (the ‘‘Worden Patent’’) expires no earlier than February 2019.
Our U.S. Knighton Patent (which was the subject of license agreements between us
and Medtronic, Inc., DePuy Spine, Inc., Biomet Biologics, Inc., COBE
Cardiovascular, Inc., and Harvest Technologies Corporation, among others)
expired in November 2009. In 2009, the license agreements under the Knighton
Patent accounted for approximately 89% of our revenues. Although the recent
acquisition of the Sorin assets was intended to, among other things, replace the
foregoing revenue loss, there is no assurance that we will be successful in
fully replacing and sustaining such revenue replacement of the royalty revenue.
Furthermore, we may be more vulnerable to competitive factors because third
parties will not then need a license from us to perform the methods claimed in
the Knighton Patent.
Our
Products are Subject to Governmental Regulation
Our
success is also impacted by factors outside of our control. Our current
technology and products may be subject to extensive regulation by numerous
governmental authorities in the United States, both federal and state, and in
foreign countries by various regulatory agencies. Specifically, our devices and
bio-pharmaceutical products are subject to regulation by the FDA and state
regulatory agencies. The FDA regulates drugs, medical devices and biologics that
move in interstate commerce and requires that such products receive clearance or
pre-marketing approval based on evidence of safety and efficacy. The regulations
of government health ministries in foreign countries are analogous to those of
the FDA in both application and scope. In addition, any change in current
regulatory interpretations by, or positions of, state regulatory officials where
the AutoloGel System is used could materially and adversely affect our ability
to sell products in those states. The FDA will require us to obtain clearance or
approval of new devices when used for treating specific wounds or marketed with
specific wound healing claims, or for other products under
development.
We
believe that the AutoloGel System and all our products are legally marketed. The
FDA has cleared us to market the AutoloGel System, including the Wound Dressing
Kit and Centrifuge II, for use in exuding wounds such as leg ulcers, pressure
ulcers, and diabetic ulcers, and the management of mechanically and
surgically-debrided wounds. As we expand and offer additional products in the
United States and in foreign countries, clearance or approval from the FDA and
comparable foreign regulatory authorities prior to introduction of any such
products into the market may be required. We provide no assurance
that we will be able to obtain all necessary approvals from the FDA or
comparable regulatory authorities in foreign countries for these products.
Failure to obtain the required approvals would have a material adverse impact on
our business and financial condition. The Angel® Whole Blood Separation System
received market clearance from the U.S. Food and Drug Administration in August
2005.
Compliance
with FDA and other governmental requirements imposes significant costs and
expenses. Further, our failure to comply with these requirements could result in
sanctions, limitations on promotional or other business activities, or other
adverse effects on our business. Further, recent efforts to control healthcare
costs could negatively affect demand for our products and services.
Clinical
Trials May Fail to Demonstrate the Safety or Efficacy of our Product
Candidates
Our
product candidates are subject to the risks of failure inherent in the
development of biotherapeutic products. The results of early-stage clinical
trials do not necessarily predict the results of later-stage clinical trials.
Product candidates in later-stage clinical trials may fail to demonstrate
desired safety and efficacy traits despite having successfully progressed
through initial clinical testing. Even if we believe the data collected from
clinical trials of its product candidates is promising, this data may not be
sufficient to support approval by the U.S. or foreign regulatory agencies.
Pre-clinical and clinical data can be interpreted in different ways.
Accordingly, the regulatory officials could reach different conclusions in
assessing such data, which could delay, limit or prevent regulatory approval. In
addition, the U.S. regulatory authorities or we may suspend or terminate
clinical trials at any time. Any failure or delay in completing clinical trials
for product candidates, or in receiving regulatory approval for the sale of any
product candidates, has the potential to materially harm our business, and may
prevent it from raising necessary, additional financing that may be needed in
the future.
A
Disruption in Healthcare Provider Networks Could Have an Adverse Effect on Our
Operations and Profitability
Our
operations and future profitability are dependent, in large part, upon the
ability to contract with healthcare providers on favorable terms. In any
particular service area, healthcare providers could refuse to contract with
Cytomedix or take other actions that could result in higher healthcare costs, or
create difficulties in meeting our regulatory requirements. In some service
areas, certain healthcare providers may have a significant market presence. If
healthcare providers refuse to contract with us, use their market position to
negotiate unfavorable contracts or place us at a competitive disadvantage, our
ability to market services or to be profitable in those service areas could be
adversely affected. Provider networks could also be disrupted by the financial
insolvency of a large healthcare provider group. Any disruption in provider
networks could adversely impact our ability to generate revenues or
profits.
Our
Sales and Marketing Strategy for AutoloGel System May Not Succeed
In
January 2009, we implemented a revised sales and marketing strategy that focuses
on intensive clinician to clinician interaction with both prospective and
existing customers, and the scientific explanation of AutoloGel’s mechanism of
action. There is no assurance that this approach will result in significant,
sustainable growth in sales revenue, or that we, as currently capitalized, will
have sufficient resources to provide the level of clinical support for this
initiative to be successful.
CMS’s
Non-Coverage of AutoloGel Could Greatly Restrict Our Sales
The
AutoloGel System is marketed to healthcare providers. Some of these providers,
in turn, seek reimbursement from third-party payers such as Medicare, Medicaid,
and other private insurers. Many foreign countries also have comprehensive
government managed healthcare programs that provide reimbursement for healthcare
products. Under such healthcare systems, reimbursement is often a determining
factor in predicting a product’s success, with some physicians and patients
strongly favoring only those products for which they will be reimbursed. With
CMS’s national non-coverage determination, the market for the AutoloGel System
is restricted and it may be difficult, if not impossible, to sell AutoloGel in
most care settings. This currently hinders our ability to grow its revenues and
could reduce the likelihood that it will ever achieve sustainable profitability.
There is no assurance that our efforts to obtain CMS coverage will be
successful.
Our
Intention to Develop a Plan to Secure Medicare Reimbursement Without Conducting
a New Randomized Controlled Trial May Not Be Successful
In March
2008, CMS reaffirmed its 2003 non-coverage determination for autologous platelet
rich plasma, which would include AutoloGel. Following CMS’s decision, we met
with CMS, in April 2008, to discuss the optimal path for securing future
coverage for AutoloGel and in concert with consultants and advisors, have
developed a multi-pronged strategy to obtain Medicare reimbursement for
AutoloGel. While we are striving to obtain a positive coverage decision without
undertaking a new randomized, controlled trial with the same rigors,
restrictions, and costs of the previous RCT, there is no assurance that we will
ultimately be successful with this strategy and that CMS will decide that the
evidence is sufficient to reverse all or a portion of its existing non-coverage
determination. If we later determine that a new randomized, controlled trial is
necessary, it could cost several millions of dollars and take multiple years to
complete. We would almost certainly need to obtain additional, outside financing
to fund such a trial.
We
May Be Unable to Attract a Strategic Partner for the Further Development of CT-
112
Due to
our limited resources, we have determined that the best vehicle to move the
development of CT-112 forward is through a strategic partnership, outlicensing,
or other similar arrangement. While we are engaged in ongoing discussions with
potential partners or licensees, there is no assurance that we will be able to
come to any such agreement. Furthermore, even if such a strategic relationship
regarding CT-112 is reached, there is no assurance that development milestones,
clinical data, or other such benchmarks will be achieved. Therefore, CT-112 may
never proceed toward commercialization or drive cash infusions for us, and we
may ultimately not be able to monetize the patents, existing clinical data, and
other intellectual property related to CT-112.
The
Success of our Products Is Dependent on Acceptance by the Medical
Community
The
commercial success of our products and processes will depend upon the medical
community and patients accepting the therapies as safe and effective. If the
medical community and patients do not ultimately accept the therapies as safe
and effective, our ability to sell the products and processes will be materially
and adversely affected. While acceptance by the medical community may be
fostered by broad evaluation via peer-reviewed literature, we may not have the
resources to facilitate sufficient publication.
We
May Be Unable to Attract and Retain Key Personnel
Our
future success depends on the ability to attract, retain and motivate highly
skilled management, including sales representatives. We have retained a team of
highly qualified officers and consultants, but cannot provide assurance that we
will be able to successfully retain all of them, or be successful in recruiting
additional personnel as needed. Our inability to do so will materially and
adversely affect the business prospects, operating results and financial
condition. Our ability to maintain and provide additional services to our
existing customers depends upon our ability to hire and retain business
development and scientific and technical personnel with the skills necessary to
keep pace with continuing changes in regenerative biological therapy
technologies. Competition for such personnel is intense; we compete with
pharmaceutical, biotechnology and healthcare companies. Our inability to hire
additional qualified personnel may lead to higher recruiting, relocation and
compensation costs for such personnel. These increased costs may reduce our
profit margins or make hiring new personnel impractical.
Legislative
and Administrative Action May Have an Adverse Effect on Our Company
Political,
economic and regulatory influences may subject the health care industry in the
United States to fundamental change. We cannot predict what other legislation
relating to our business or to the health care industry may be enacted,
including legislation relating to third-party reimbursement, or what effect such
legislation may have on our business, prospects, operating results and financial
condition. We expect federal and state legislators to continue to review and
assess alternative health care delivery and payment systems and possibly adopt
legislation affecting fundamental changes in the health care delivery system.
Such laws may contain provisions that may change the operating environment for
its targeted customers including hospitals and managed care organizations.
Health care industry participants may react to such legislation by curtailing or
deferring expenditures and initiatives, including those relating to our
products. Future legislation could result in modifications to the existing
public and private health care insurance systems that would have a material
adverse effect on the reimbursement policies discussed above. With
growing pressures on government budgets due to the current economic downturn,
government efforts to contain or reduce health care spending are likely to gain
increasing emphasis. Several members of the current presidential administration
and Congress are espousing support for cost-containment measures that could have
significant implications for healthcare therapies, including our current and
future products. If enacted and implemented, such measures could result in
decreased revenue from our products and decrease potential returns
from our research and development initiatives. Furthermore, there is
no assurance that we will be able to successfully neutralize any lobbying
efforts against our efforts to secure Medicare coverage or other initiatives we
may have with governmental agencies.
We
Could Be Affected by Malpractice Claims
Providing
medical care entails an inherent risk of professional malpractice and other
claims. We do not control or direct the practice of medicine by physicians or
health care providers who use the products and do not assume responsibility for
compliance with regulatory and other requirements directly applicable to
physicians. We cannot assure that claims, suits or complaints relating to the
use of our products and treatment administered by physicians will not be
asserted against us in the future. The production, marketing and sale, and use
of our products entails risks that product liability claims will be asserted
against us. These risks cannot be eliminated, and we could be held liable for
any damages that result from adverse reactions or infectious disease
transmission. Such liability could materially and adversely affect our business,
prospects, operating results and financial condition. We currently maintain
professional and product liability insurance coverage, but cannot give assurance
that the coverage limits of this insurance would be adequate to protect against
all potential claims. We cannot assure that we will be able to obtain or
maintain professional and product liability insurance in the future on
acceptable terms or with adequate coverage against potential
liabilities.
Our Products Have
Existing Competition in the
Marketplace
In the
market for biotechnology products, we face competition from pharmaceutical
companies, biopharmaceutical companies, medical device companies, and other
competitors. Other companies have developed or are developing products that may
be in direct competition with our current product line. Biotechnology
development projects are characterized by intense competition. Thus, we cannot
assure any investor that we will be the first to the market with any newly
developed products or that we will successfully be able to market these
products. If we are not able to participate and compete in the regenerative
biological therapy market, our financial condition will be materially and
adversely affected. We cannot assure that we will be able to compete effectively
against such companies in the future. Many of these companies have substantially
greater capital resources, larger marketing staffs and more experience in
commercializing products. Recently developed technologies, or technologies that
may be developed in the future, may be the basis for developments that will
compete with our products.
We
May Likely Issue Additional Equity or Debt Securities Which May Materially and
Adversely Affect the Price of Our Common Stock
Sales of
substantial amounts of shares of our common stock in the public market, or the
perception that those sales may occur, could cause the market price of our
common stock to decline. We have used, and will likely continue to use, our
common stock or securities convertible into or exchangeable for common stock to
fund working capital needs or to acquire technology, product rights or
businesses, or for other purposes. If additional equity securities are issued,
particularly during times when our common stock is trading at relatively low
price levels, the price of our common stock may be materially and adversely
affected.
There
is a Limited Public Trading Market for our Common Stock
The
average daily trading volume in our common stock is relatively low. As long as
this condition continues, it could be difficult to sell a significant number of
shares of common stock at any particular time at the market prices prevailing
immediately before such shares are offered. Shareholders may be required to hold
shares of our common stock for an indefinite period of time. In addition, sales
of substantial amounts of common stock could lower the prevailing market price
of our common stock. This would limit or perhaps prevent our ability to raise
capital through the sale of securities. Additionally, we have significant
numbers of outstanding warrants and options that, if exercised and sold, could
put additional downward pressure on the common stock price. In addition, in
recent years, and especially in recent months, the stock market in general, and
the market for life sciences companies in particular, have experienced
significant price and volume fluctuations. This volatility has affected the
market prices of securities issued by many companies, often for reasons
unrelated to their operating performance, and it may adversely affect the price
of our common stock. These broad market fluctuations may reduce the demand for
our stock and therefore adversely affect the price of our securities, regardless
of operating performance.
We
are Subject to Anti-Takeover Provisions and Laws
Provisions
in our Restated Certificate of Incorporation and Restated Bylaws and
applicable provisions of the Delaware General Corporation Law may make it more
difficult for a third party to acquire control of our company without the
approval of the Board of Directors. These provisions may make it more difficult
or expensive for a third party to acquire a majority of our outstanding voting
common stock or delay, prevent or deter a merger, acquisition, tender offer or
proxy contest, which may negatively affect the common stock price.
CAUTIONARY NOTE REGARDING
FORWARD LOOKING STATEMENTS
Some of
the statements made in this prospectus discuss future events and developments,
including our future business strategy and our ability to generate revenue,
income and cash flow. In some cases, you can identify forward-looking statements
by words or phrases such as “may,” “should,” “expects,” “plans,” “anticipates,”
“believes,” “estimates,” “predicts,” “potential,” “continue,” “our future
success depends,” “seek to continue,” or the negative of these words or phrases,
or comparable words or phrases. These statements are only predictions that are
based, in part, on assumptions involving judgments about future economic,
competitive and market conditions and future business decisions, all of which
are difficult or impossible to predict accurately and many of which are beyond
our control. Actual events or results may differ materially. In evaluating these
statements, you should specifically consider various facts, including the risks
outlined in the “Risk Factors” section. Although we believe that the
expectations reflected in the forward-looking statements are reasonable, we
cannot guarantee future results, levels of activity, performance or
achievements. You are cautioned not to place undue reliance on these
forward-looking statements, which speak only as of the date on which they are
made. We do not undertake to update any of the forward-looking statements after
the date of this prospectus to conform these statements to actual
results.
You
should read this prospectus and the documents that we reference in this
prospectus and have filed as exhibits to the Registration Statement on Form S-3,
of which this prospectus is a part, that we have filed with the SEC, completely
and with the understanding that our actual future results, levels of activity,
performance and achievements may be different from what we expect and that these
differences may be material. We qualify all of our forward-looking statements by
these cautionary statements. The forward-looking statements contained in this
prospectus are excluded from the safe harbor protection provided by the Private
Securities Litigation Reform Act of 1995 and Section 27A of the Securities
Act.
USE OF
PROCEEDS
We will not receive any of the proceeds
from the sale of shares of common stock in this offering. However, we may
receive up to approximately $2.9 million upon exercise of the warrants covered
by this prospectus in the event the warrants are exercised for cash. We intend
to use any proceeds from the exercise of warrants for general corporate and
working capital purposes.
SELLING SECURITY
HOLDERS
The table
below lists the Selling Shareholders and other information regarding the
beneficial ownership of the securities by each of the Selling
Shareholders. To the extent permitted by law, the Selling
Shareholders listed below may resell the securities registered pursuant to this
prospectus. The percentage of outstanding shares beneficially owned
is based on 41,767,127 shares outstanding as of October 8, 2010. The Selling
Shareholders are not making any representation that any securities registered by
this prospectus will be offered for sale. Selling Shareholders reserve the right
to accept or reject, in whole or in part, any proposed sale registered pursuant
to this prospectus. None of the Selling Shareholders are affiliated with Sorin
Group USA, Inc. The following table assumes that all of the securities
being registered pursuant to this prospectus will be sold.
Beneficial
ownership is determined in accordance with the rules of the SEC and includes
voting or investment power with respect to shares of common stock. Unless
otherwise indicated below, to our knowledge, all persons named in the table have
sole voting and investment power with respect to the shares of common stock and
other securities beneficially owned by them. The inclusion of any securities in
this table does not constitute an admission of beneficial ownership for the
person named below.
Selling Shareholder
|
|
Beneficial Ownership
Prior
to this Offering
|
|
|
Shares that May Be
Offered and Sold
Hereby
|
|
|
Beneficial Ownership
After this Offering
|
|
|
% Holding After the
Completion of this
Offering
|
|
|
Relationship
with
Cytomedix
|
|
David
L. Anderson (1)
|
|
|
382,302
|
|
|
|
93,695
|
|
|
|
288,607
|
|
|
|
*
|
|
|
|
|
Arrow
Realty LLC (2)
|
|
|
883,742
|
|
|
|
281,085
|
|
|
|
602,657
|
|
|
|
1.5
|
%
|
|
|
|
Capital
Growth Trust (3)
|
|
|
922,616
|
|
|
|
281,085
|
|
|
|
641,531
|
|
|
1.5
|
%
|
|
|
|
Peter
A. Clausen (4)
|
|
|
529,643
|
|
|
|
140,543
|
|
|
|
389,100
|
|
|
|
*
|
|
|
|
C
|
|
Cranshire
Capital LP (5)
|
|
|
1,511,620
|
|
|
|
599,645
|
|
|
|
911,975
|
|
|
|
2.2
|
%
|
|
|
|
|
John
Paul DeJoria (6) (20)
|
|
|
6,247,192
|
|
|
|
2,123,891
|
|
|
|
4,123,301
|
|
|
|
9.9
|
%
|
|
|
|
|
The
deRose Family Trust (7)
|
|
|
964,172
|
|
|
|
187,390
|
|
|
|
776,782
|
|
|
|
1.9
|
%
|
|
|
|
|
Freestone
Advantage Partners LP (8)
|
|
|
124,525
|
|
|
|
56,218
|
|
|
|
68,307
|
|
|
*
|
|
|
|
|
|
Paul
Anthony Jacobs & Nancy E. Jacobs Joint Trust (9)
|
|
|
1,614,363
|
|
|
|
187,390
|
|
|
|
1,426,973
|
|
|
|
3.4
|
%
|
|
|
|
|
David
E. Jorden (10)
|
|
|
5,184,605
|
|
|
|
280,522
|
|
|
|
4,904,083
|
|
|
|
11.7
|
%
|
|
|
A,
C
|
|
Andrew
S. Maslan (11)
|
|
|
387,138
|
|
|
|
16,316
|
|
|
|
370,822
|
|
|
|
*
|
|
|
|
B
|
|
John
N. McConnell Jr. (12)
|
|
|
382,302
|
|
|
|
93,695
|
|
|
|
288,607
|
|
|
|
*
|
|
|
|
|
|
George
O. McDaniel, III (13)
|
|
|
2,586,888
|
|
|
|
524,779
|
|
|
|
2,062,109
|
|
|
|
5.0
|
%
|
|
|
|
|
Michael
M. McDaniel (14)
|
|
|
1,387,233
|
|
|
|
524,779
|
|
|
|
862,454
|
|
|
2.1
|
%
|
|
|
|
|
William
F. Miller (15)
|
|
|
760,350
|
|
|
|
100,000
|
|
|
|
660,350
|
|
|
|
1.6
|
%
|
|
|
|
|
Gary
L. Mossman (16)
|
|
|
472,065
|
|
|
|
121,805
|
|
|
|
350,260
|
|
|
|
*
|
|
|
|
|
|
Martin
P. & Kathy A. Rosendale (17)
|
|
|
758,089
|
|
|
|
32,632
|
|
|
|
725,457
|
|
|
|
1.7
|
%
|
|
|
A,
B
|
|
Charles
E. Sheedy (18) (20)
|
|
|
6,975,696
|
|
|
|
2,073,891
|
|
|
|
4,901,805
|
|
|
|
11.7
|
%
|
|
|
|
|
Jack
W. Womack (19)
|
|
|
257,539
|
|
|
|
93,695
|
|
|
|
163,844
|
|
|
*
|
|
|
|
|
|
* Indicates
percentages below 1%.
(1) Consists
of (i) 116,035 shares of Common stock, (ii) 61,126 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, (iii)
170,766 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 34,375 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
(2) Consists
of (i) 207,194 shares of Common stock, (ii) 61,126 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, (iii)
512,297 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (v) 103,125 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock. S. Reed Morian has
voting and dispositive power over the securities held by Arrow Realty
LLC.
(3) Consists
of (i) 307,194 shares of Common stock, (ii) 512,297 shares of Common stock
issuable upon conversion of the Series D Convertible Preferred Stock and
exercise of the Warrants in the April 2010 private offering, and (iii) 103,125
shares of Common stock which may be issued as dividends on the Series D
Convertible Preferred Stock. Vicki Appel has voting and dispositive power over
the securities held by Capital Growth Trust.
(4) Consists
of (i) 128,597 shares of Common stock, (ii) 93,334 shares of Common stock
issuable upon exercise of options beneficially owned by the holder, (iii)
256,149 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 51,563 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
(5) Consists
of (i) 15,346 shares of Common stock, (ii) 183,377 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, (iii)
1,092,897 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 220,000 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
Down
sview Capital, Inc.
(“Downsview
”
) is the general partner of
Cran
shire Capital, L.P.
(
“
Cranshire
”
) and consequently has voting control
and investment discretion over securities held by Cranshire. Mitchell P. Kopin
("Mr. Kopin"), President of Downsview, has voting control over Downsview. As a
result of the foregoing, each of Mr. Kopin and Downsview may be deemed to have
beneficial ownership (as determined under Section 13(d) of the Securities
Exchange Act of
1934, as
amended) of the shares of common stock beneficially owned by
Cranshire.
(6) Consists
of (i) 1,747,723 shares of Common stock, (ii) 146,667 shares of Common
stock issuable upon exercise of warrants beneficially owned by the holder, (iii)
3,415,302 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, (iv) 250,000 shares of Common stock issuable upon the
exercise of the Guaranty Warrants, and (v) 687,500 shares of Common stock which
may be issued as dividends on the Series D Convertible Preferred
Stock.
(7) Consists
of (i) 526,996 shares of Common stock, (ii) 26,895 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, (iii)
341,531 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 68,750 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock. Robert
deRose has voting and dispositive power over the securities held by deRose
Family Trust.
(8) Consists
of (i) 1,439 shares of Common stock, (ii) 102,461 shares of Common stock
issuable upon conversion of the Series D Convertible Preferred Stock and
exercise of the Warrants in the April 2010 private offering, and (iii) 20,625
shares of Common stock which may be issued as dividends on the Series D
Convertible Preferred Stock. Downsview Capital, Inc. (“Downsview”) is the
investment manager for a managed account of Freestone Advantage Partners, LP and
consequently has voting control and investment discretion over securities held
in such account. Mitchell P. Kopin (“Mr. Kopin”), President of Downsview, has
voting control over Downsview. As a result, each of Mr. Kopin and Downsview may
be deemed to have beneficial ownership (as determined under Section 13(d) of the
Securities Exchange Act of 1934, as amended) of the shares held in such account
which are being registered hereunder.
(9) Consists
of (i) 1,020,706 shares of Common stock, (ii) 183,376 shares of Common
stock issuable upon exercise of warrants beneficially owned by the holder, (iii)
341,531 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 68,750 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock. Anthony Jacobs has
voting and dispositive power over the securities held by Jacobs
Trust.
(10) Consists
of (i) 4,461,614 shares of Common stock, (ii) 302,937 shares of Common stock
issuable upon exercise of warrants and options beneficially owned by the holder,
(iii) 215,054 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, (iv) 150,000 shares of Common stock issuable upon the exercise
of the Guaranty Warrants, and (v) 55,000 shares of Common stock which may be
issued as dividends on the Series D Convertible Preferred Stock.
(11) Consists
of (i) 56,980 shares of Common stock, (ii) 296,401 shares of Common stock
issuable upon exercise of warrants and options beneficially owned by the holder,
(iii) 26,882 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 6,875 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
(12) Consists
of (i) 116,035 shares of Common stock, (ii) 61,126 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, (iii)
170,766 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 34,375 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
(13) Consists
of (i) 1,421,867 shares of Common stock, (ii) 194,460 shares of Common
stock issuable upon exercise of warrants beneficially owned by the holder, (iii)
683,061 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, (iv) 150,000 shares of Common stock issuable upon the exercise
of the Guaranty Warrants, and (v) 137,500 shares of Common stock which may be
issued as dividends on the Series D Convertible Preferred Stock.
(14) Consists
of (i) 416,672 shares of Common stock, (ii) 683,061 shares of Common stock
issuable upon conversion of the Series D Convertible Preferred Stock and
exercise of the Warrants in the April 2010 private offering, (iii) 150,000
shares of Common stock issuable upon the exercise of the Guaranty Warrants, and
(iv) 137,500 shares of Common stock which may be issued as dividends on the
Series D Convertible Preferred Stock.
(15) Consists
of (i) 645,350 shares of Common stock, (ii) 15,000 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, and (iii)
100,000 shares of Common stock issuable upon the exercise of the Guaranty
Warrants.
(16) Consists
of (i) 144,255 shares of Common stock, (ii) 61,126 shares of Common stock
issuable upon exercise of warrants beneficially owned by the holder, (iii)
221,996 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 44,688 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
(17) Consists
of (i) 69,494 shares of Common stock, (ii) 621,081 shares of Common stock
issuable upon exercise of warrants and options beneficially owned by the holder,
(iii) 53,764 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, and (iv) 13,750 shares of Common stock which may be issued as
dividends on the Series D Convertible Preferred Stock.
(18) Consists
of (i) 2,336,184 shares of Common stock, (ii) 336,710 shares of Common
stock issuable upon exercise of warrants beneficially owned by the holder, (iii)
3,415,302 shares of Common stock issuable upon conversion of the Series D
Convertible Preferred Stock and exercise of the Warrants in the April 2010
private offering, (iv) 200,000 shares of Common stock issuable upon the
exercise of the Guaranty Warrants, and (v) 687,500 shares of Common stock which
may be issued as dividends on the Series D Convertible Preferred
Stock.
(19) Consists
of (i) 52,398 shares of Common stock, (ii) 170,766 shares of Common stock
issuable upon conversion of the Series D Convertible Preferred Stock and
exercise of the Warrants in the April 2010 private offering, and (iii) 34,375
shares of Common stock which may be issued as dividends on the Series D
Convertible Preferred Stock.
(20)
Under the terms of the Series D Convertible Preferred Stock, the holder is
limited in the number of common stock shares he may convert into such that
he will not own in excess of 9.99% of then outstanding shares of
common stock.
A. Director
of Cytomedix
B. Executive
Officer of Cytomedix
C. Employee
of Cytomedix
DESCRIPTION OF SECURITIES TO
BE REGISTERED
This
section describes the general terms and provisions of our
securities. For more information, you should refer to our Certificate
of Incorporation and Bylaws, as amended and restated, to date, copies of which
have been filed with the SEC. These documents are also incorporated by reference
into the registration statement of which this prospectus forms a
part.
Common
Stock
We are
authorized to issue 100,000,000 shares of non-assessable voting common stock,
$.0001 par value per share, of which 41,767,127 shares were issued and
outstanding (or 66,958,655 shares on a fully diluted basis) on October 8,
2010, and 15,000,000 shares of preferred stock, of which, 167,097 shares were
issued and outstanding as of the same date.
The
common stock is fully paid and nonassessable. All of our common stock is of the
same class, and each share has the same rights and preferences. Holders of our
common stock are entitled to one vote per share on each matter submitted to a
vote of the shareholders. In the event of liquidation, holders of
common stock are entitled to share ratably in the distribution of assets
remaining after payment of liabilities, upon giving a liquidation preference of
$1.00 per share for each share of outstanding Series A convertible preferred
stock and Series B convertible preferred stock, and a liquidation preference
amount of $1,000 per share for each share of outstanding Series D convertible
preferred stock. The common stock is subordinate to the Series A convertible
preferred, Series B convertible preferred, and Series D convertible preferred
(as discussed below) and to all other classes and series of equity securities
which by their terms rank senior to the common stock, in the event of a
liquidation, dissolution, or winding up or with regard to any other rights,
privileges or preferences. Holders of common stock do not have any
cumulative voting rights, preemptive rights, conversion rights, redemption
rights or sinking fund rights. Holders of common stock are entitled to receive
dividends as may from time to time be declared by the board of directors at
their sole discretion. We have not paid any dividends to holders of our common
stock since inception. We do not anticipate paying cash dividends on our common
stock in the foreseeable future, but instead will retain any earnings to fund
our growth.
Our
transfer agent for our common stock is StockTrans, Inc. located at 44 West
Lancaster Ave., Ardmore, Pennsylvania 19003. All inquiries may be made at
StockTrans, Inc., 44 W. Lancaster Ave., Ardmore, PA 19003. The transfer agent’s
internet website address is
www.stocktrans.com
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Preferred
Stock
Our Board
of Directors has the authority, without action by our shareholders, to designate
and issue preferred stock in one or more series. Our Board may also designate
the rights, preferences and privileges of each series of preferred stock, any or
all of which may be greater than the rights of the common stock. It is not
possible to state the actual effect of the issuance of any shares of preferred
stock on the rights of holders of the common stock until our Board determines
the specific rights of the holders of the preferred stock. However, these
effects might include: (a) restricting dividends on the common stock; (b)
diluting the voting power of the common stock; (c) impairing the liquidation
rights of the common stock; and (d) delaying or preventing a change in control
of our company without further action by our shareholders.
We are
authorized to issue 15,000,000 shares of preferred stock, par value of $.0001
per share. To date, our Board has certified the rights and preferences of four
series of preferred stock: Series A Convertible Preferred Stock, Series B
Convertible Preferred Stock, Series C Convertible Preferred Stock (none
currently outstanding) and Series D Convertible Preferred Stock.
Series
A Convertible Preferred Stock
We have
authorized a maximum of 5,000,000 shares of Series A convertible preferred
stock, par value $.0001. As of October 8, 2010, there are approximately 97,663
shares of Series A convertible preferred stock outstanding. The Series A
convertible preferred has a stated liquidation preference of $1.00 per share and
has preference over and ranks (i) senior to the Series B convertible preferred
stock, (ii) senior to the common stock, and (iii) senior to all other classes
and series of equity securities which by its terms do not rank senior to the
Series A convertible preferred.
Holders
of Series A convertible preferred are entitled to receive cumulative dividends
at the rate of 8% of the stated liquidation preference amount per share per
annum, payable quarterly in arrears. These dividends are prior and in preference
to any declaration or payment of any distribution on any outstanding shares of
common stock or any other equity securities ranking junior as to the payment of
dividends. Dividends are to be paid in additional shares of Series A convertible
preferred or, in the sole discretion of the Board, in cash. If we fail to pay
dividends as required for six consecutive quarters, a majority of the holders of
Series A convertible preferred will have the power to elect one director to the
Board, either by filling an existing vacancy on the Board or by removing a
director of their choice. Each share of Series A convertible preferred stock is
entitled to vote on all matters voted on by holders of the common stock voting
together as a single class with the other shares entitled to vote.
Beginning
on July 11, 2003, and every six months thereafter, holders of the Series A
convertible preferred may convert up to 25% of their remaining holdings of
Series A convertible preferred into common stock. The shares converted based on
the liquidation preference amount and the conversion price of the common stock
is equal to 90% of the twenty-day average closing ask price of the common stock,
but in no case shall the conversion price be less than $3.00 per
share.
We may
redeem all of the then outstanding shares of Series A convertible preferred
stock upon proper notice of not less than ten days nor more than sixty days
prior to the redemption date. The per share redemption price is equal to (i)
105% of the Series A liquidation preference amount plus all accrued but unpaid
dividends if the shares are redeemed within one year of the date of issuance;
(ii) 104% of the Series A liquidation preference amount plus all accrued but
unpaid dividends if redeemed later than one year from the date of
issuance.
Series
B Convertible Preferred Stock
We have
authorized a maximum of 5,000,000 shares of Series B convertible preferred
stock, par value $.0001. As of October 8, 2010, there are approximately
65,784 shares of Series B convertible preferred stock outstanding. These shares
have a stated liquidation preference of $1.00 per share. They are subordinate to
the Series A convertible preferred, but have preference over and rank senior to
(i) the common stock, and (ii) all other classes and series of equity securities
which by their terms do not rank senior to the Series B convertible preferred
stock.
Holders
of Series B convertible preferred are entitled to receive cumulative dividends
at the rate of 8% of the stated liquidation preference amount per share per
annum, payable quarterly in arrears. These dividends are prior and in preference
to any declaration or payment of any distribution on any outstanding shares of
common stock or any other equity securities ranking junior as to the payment of
dividends. Dividends are to be paid in additional shares of Series B convertible
preferred or, in the sole discretion of the Board, in cash. If we fail to pay
dividends as required for six consecutive quarters, a majority of the holders of
Series B convertible preferred will have the power to elect one director to the
Board, either by filling an existing vacancy on the Board or by removing a
director of their choice. Each share of Series B convertible preferred stock is
entitled to vote on all matters voted on by holders of the common stock voting
together as a single class with the other shares entitled to vote.
Beginning
on July 11, 2003, and every six months thereafter, holders of the Series B
convertible preferred may convert up to 25% of their remaining holdings of
Series B convertible preferred into common stock. The shares converted based on
the liquidation preference amount and the conversion price of the common stock
is equal to 90% of the twenty-day average closing ask price of the common stock,
but in no case shall the conversion price be less than $3.00 per
share.
We may
redeem all of the then outstanding shares of Series B convertible preferred
stock upon proper notice of not less than ten days nor more than sixty days
prior to the redemption date. The per share redemption price is equal to (i)
105% of the Series A liquidation preference amount plus all accrued but unpaid
dividends if the shares are redeemed within one year of the date of issuance;
(ii) 104% of the Series A liquidation preference amount plus all accrued but
unpaid dividends if redeemed later than one year from the date of issuance; or
(iii) 103% of the Series B Liquidation Preference Amount plus all accrued but
unpaid dividends if redeemed later than two years from the date of
issuance.
Series
C Convertible Preferred Stock
We have
authorized a maximum of 1,000,000 shares of Series C convertible preferred
stock, par value $.0001. As of October 8, 2010, there were no shares of Series C
convertible preferred stock outstanding.
The
Series C convertible preferred stock ranks junior to the Series A convertible
preferred stock regarding distributions upon liquidation of the Company. Series
C convertible preferred stock ranks junior to the Series B convertible preferred
stock solely with respect to the priority security interest in our intellectual
property. The shares accrue dividends at 6% of the stated liquidation preference
amount from the date of issuance and increase to 8% commencing on September 25,
2005, are payable annually in cash or shares of stock at our option. The Series
C convertible preferred stock ranks pari passu with Series A convertible
preferred stock and Series B preferred stock with respect to payment of
dividends. The Series C preferred stock has no voting rights except with respect
to transactions upon which they are entitled to vote as a class. Each dollar of
liquidation preference amount is initially converted into one share of common
stock (subject to certain anti-dilution privileges).
The
holders of Series C convertible preferred stock can require us to redeem the
stock plus accrued dividends at 125% of the liquidation price upon the (i)
consolidation, merger or business combination of the Company, (ii) sale of more
than 50% of our assets or (iii) a sale of more than 50% of our outstanding
common stock. However, we have the option to pay in cash or shares of common
stock.
Series
D Convertible Preferred Stock
Our Board
designated 2,000,000 shares of the “blank check” preferred stock as the 10%
Series D Convertible Preferred Stock (the “Preferred Stock”) with a stated value
of $1,000 per share.
As of
October 8, 2010, there were approximately 3,650 shares of the Series D
Convertible Preferred Stock outstanding.
The Preferred Stock earns
cumulative dividends at the rate of 10% per annum, payable quarterly in cash in
arrears on January 15, April 15, July 15 and October 15, beginning on July 15,
2010, or, in our sole discretion, in shares of common stock valued at the 5-day
volume weighted average price ending 3 days immediately preceding the dividend
due date, but in no case at a price less than $0.40 per share. The Preferred
Stock may be converted, at the holder’s option, into shares of common stock at a
conversion price equal to $0.4392. The conversion price on the Preferred Stock
for affiliate investors is $0.5580. Upon any liquidation, dissolution or
winding-up of our company, whether voluntary or involuntary, the holders will be
entitled to receive out of our assets an amount equal to the stated value, plus
any accrued and unpaid dividends thereon and any other fees then due and owing
thereon, for each share of Preferred Stock before any distribution or payment is
made to the holders of any junior securities. The holders of the Preferred Stock
can vote their shares on a “one share one vote” basis. At any time after the
third anniversary of the issuance date, we may redeem some or all of the then
outstanding Preferred Stock, for cash equal to 100% of the aggregate stated
value and accrued but unpaid dividends. The Preferred Stock also provides that
with limited exceptions as discussed below, in no event will we effect any
conversion of the Preferred Stock and the holder of the Preferred Stock will not
have the right to convert the Preferred Stock, to the extent that such
conversion would result in beneficial ownership by the holder of the Preferred
Stock and its affiliates in excess of 9.99% of the then outstanding shares of
common stock (after taking into account the shares to be issued to the holder
upon such conversion). The Preferred Stock holder may decrease the foregoing
threshold upon 61 days’ notice of such decrease to us. The Preferred Stock is
not and will not be listed on any securities exchange or automated quotation
system.
Warrants
Pursuant
to, and contemporaneous with the execution of, the subscription agreements in
which we issued the Preferred Stock, we also issued five-year warrants to
purchase, in the aggregate, 4,128,631 shares of common stock at an exercise
price per share of $0.5368. Each Warrant is exercisable immediately on the date
of issuance and will expire on April 9, 2015. The Warrant contains provisions
that are customary for the instruments of this nature, including, a cashless
exercise provision and an exercise price adjustments provision in the event of
stock dividends, stock splits and reclassifications of our common stock. The
Warrants are not and will not be listed on any securities exchange or automated
quotation system. Under the terms of the Preferred Stock and the Warrants, the
aggregate number of our common stock issuable upon any and all conversion of the
Preferred Stock or exercises of these Warrants sold in the April 2010 Offering
could not exceed 19.99% of the total issued and outstanding shares of our
outstanding common stock on the date of the issuance unless such issuances in
excess of the numeric limitation were approved by our shareholders. Our
shareholders approved such issuances at the special meeting on June 30,
2010.
In
addition, we issued certain warrants issued to the Guarantors under the Guaranty
Agreements executed by us to secure partial payment of our obligations under the
Promissory Note in the Sorin acquisition. The obligations of each obligor under
the Promissory Note executed in connection with the Sorin acquisition are
secured, in part, by limited Guaranty Agreements executed by certain of our
existing shareholders so that each such Guarantor agreed to guarantee a portion
of the then Outstanding Amount; the Guarantors, in the aggregate, guaranteed $2
million of the initial $4 million deferred payment under the Promissory Note. In
connection with these guaranties, we agreed to, among other things, issue
five-year warrants to purchase an aggregate 1,333,334 shares of our common stock
at an exercise price of $0.5368 per share. The Guarantor Warrants contain the
same terms and provisions included in the warrants issued to the purchasers in
the April 2010 Offering; provided, however, that the Guarantor Warrants are not
be exercisable until the Company has received shareholder approval to permit the
issuance and exercise of such warrants. Of the shares underlying these Guarantor
Warrants, 75% of the shares are exercisable immediately upon the receipt of the
shareholder approval, with the remaining portion of the warrants becoming
exercisable if, and only if, the Company has not paid all of the deferred
payments to Sorin on or prior to April 9, 2011. Our shareholders also approved
such issuances under the Guaranty Agreements at the special meeting on June 30,
2010.
Registration
Rights
We also
entered into a registration rights agreement with the purchasers in the April
2010 Offering, under which we agreed to provide the Purchasers with registration
rights for the common stock underlying the Preferred Stock and the Warrants.
If
the registration event (as such term is defined in the Registration Rights
Agreement) occurs, we are required to make payments to the Purchasers as partial
liquidated damages, not as a penalty, an amount equal to 1% of the purchase
price per share of the registrable securities held by the Purchasers monthly for
each 30 day calendar month of the period following the registration default date
(as such term is also defined in the Registration Rights Agreement) during which
the registration event occurs and is continuing, on a pro rata basis, with such
payments, in the aggregate, not to exceed 6% of the purchase price of the
securities purchased by the Purchasers. The foregoing description of the
Registration Rights Agreement is subject to and is qualified by the text of the
actual agreement, a copy of which was filed as an exhibit to our Current Report
on Form 8-K with the SEC on April 12, 2010 and is incorporated by reference
herein.
Anti-Takeover
Effects of Provisions of Delaware Law
Provisions
of Delaware law and our Certificate of Incorporation, as amended, and Bylaws
could make the acquisition of our company through a tender offer, a proxy
contest or other means more difficult and could make the removal of incumbent
officers and directors more difficult. We expect these provisions to discourage
coercive takeover practices and inadequate takeover bids and to encourage
persons seeking to acquire control of our company to first negotiate with our
Board. We believe that the benefits provided by our ability to negotiate with
the proponent of an unfriendly or unsolicited proposal outweigh the
disadvantages of discouraging these proposals. We believe the negotiation of an
unfriendly or unsolicited proposal could result in an improvement of its
terms.
We are
subject to the provisions of Section 203 of the Delaware Law. Subject to a
number of exceptions, Section 203 prohibits a publicly-held Delaware corporation
from engaging in a "business combination" with an "interested stockholder" for a
period of three years after the date of the transaction in which the person
became an interested stockholder, unless the business combination or the
transaction in which the person became an interested stockholder is approved in
a prescribed manner. A "business combination" includes a merger, asset sale,
stock sale, or other transaction resulting in financial benefit to the
stockholder. An "interested stockholder" is a person who, together with
affiliates and associates, owns, or within three years prior, did own, 15% or
more of the corporation's outstanding voting stock. This provision may have the
effect of delaying, deterring, or preventing a change of control without further
action by the shareholders.
Transfer
Agent
The
transfer agent for our common stock is StockTrans, Inc. located at 44 West
Lancaster Ave., Ardmore, Pennsylvania 19003.
Listing
Our
common stock is quoted on the NYSE Amex under the symbol “GTF.BC
”
PLAN OF
DISTRIBUTION
Each
Selling Shareholder of the common stock and any of their pledgees, assignees and
successors-in-interest may, from time to time, sell any or all of their shares
of common stock covered hereby on the principal trading market or any other
stock exchange, market or trading facility on which the shares are traded or in
private transactions. These sales may be at fixed or negotiated prices. A
Selling Shareholder may use any one or more of the following methods when
selling shares:
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ordinary
brokerage transactions and transactions in which the broker-dealer
solicits purchasers;
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block
trades in which the broker-dealer will attempt to sell the shares as agent
but may position and resell a portion of the block as principal to
facilitate the transaction;
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purchases
by a broker-dealer as principal and resale by the broker-dealer for its
account;
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an
exchange distribution in accordance with the rules of the applicable
exchange;
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privately
negotiated transactions;
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settlement
of short sales entered into after the effective date of the registration
statement of which this prospectus is a
part;
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in
transactions through broker-dealers that agree with the Selling
Shareholders to sell a specified number of such shares at a stipulated
price per share;
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through
the writing or settlement of options or other hedging transactions,
whether through an options exchange or
otherwise;
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a
combination of any such methods of sale;
or
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any
other method permitted pursuant to applicable
law.
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The
Selling Shareholders may also sell shares under Rule 144 under the Securities
Act, if available, rather than under this prospectus.
Broker-dealers
engaged by the Selling Shareholders may arrange for other brokers-dealers to
participate in sales. Broker-dealers may receive commissions or discounts from
the Selling Shareholders (or, if any broker-dealer acts as agent for the
purchaser of shares, from the purchaser) in amounts to be negotiated,, in the
case of an agency transaction not in excess of a customary brokerage commission
in compliance with FINRA Rule 2440; and in the case of a principal transaction a
markup or markdown in compliance with FINRA IM-2440.
In
connection with the sale of the common stock or interests therein, the Selling
Shareholders may enter into hedging transactions with broker-dealers or other
financial institutions, which may in turn engage in short sales of the common
stock in the course of hedging the positions they assume. The Selling
Shareholders may also sell shares of the common stock short and deliver these
securities to close out their short positions, or loan or pledge the common
stock to broker-dealers that in turn may sell these securities. The Selling
Shareholders may also enter into option or other transactions with
broker-dealers or other financial institutions or create one or more derivative
securities which require the delivery to such broker-dealer or other financial
institution of shares offered by this prospectus, which shares such
broker-dealer or other financial institution may resell pursuant to this
prospectus (as supplemented or amended to reflect such
transaction).
The
Selling Shareholders and any broker-dealers or agents that are involved in
selling the shares may be deemed to be “underwriters” within the meaning of the
Securities Act in connection with such sales. In such event, any commissions
received by such broker-dealers or agents and any profit on the resale of the
shares purchased by them may be deemed to be underwriting commissions or
discounts under the Securities Act. Each Selling Shareholder has informed us
that it does not have any written or oral agreement or understanding, directly
or indirectly, with any person to distribute the common Stock.
We are
required to pay certain fees and expenses incurred by us incident to the
registration of the shares. We have agreed to indemnify the Selling Shareholders
against certain losses, claims, damages and liabilities, including liabilities
under the Securities Act.
Because
Selling Shareholders may be deemed to be “underwriters” within the meaning of
the Securities Act, they will be subject to the prospectus delivery requirements
of the Securities Act including Rule 172 thereunder. The Selling Shareholders
have advised us that there is no underwriter or coordinating broker acting in
connection with the proposed sale of the resale shares by the Selling
Shareholders.
We agreed
to keep this prospectus effective until the earlier of (i) the date on which the
shares may be resold by the Selling Shareholders without registration and
without regard to any volume or manner-of-sale limitations by reason of Rule
144, without the requirement for the Company to be in compliance with the
current public information under Rule 144 under the Securities Act or any other
rule of similar effect, or (ii) all of the shares have been sold pursuant to
this prospectus or Rule 144 under the Securities Act or any other rule of
similar effect. In addition, in certain states, the resale shares of common
stock covered hereby may not be sold unless they have been registered or
qualified for sale in the applicable state or an exemption from the registration
or qualification requirement is available and is complied with
therein.
Under
applicable rules and regulations under the Exchange Act, any person engaged in
the distribution of the resale shares may not simultaneously engage in market
making activities with respect to the common stock for the applicable restricted
period, as defined in Regulation M, prior to the commencement of the
distribution. In addition, the Selling Shareholders will be subject to
applicable provisions of the Exchange Act and the rules and regulations
thereunder, including Regulation M, which may limit the timing of purchases and
sales of shares of the common stock by the Selling Shareholders or any other
person. We will make copies of this prospectus available to the Selling
Shareholders and have informed them of the need to deliver a copy of this
prospectus to each purchaser at or prior to the time of the sale (including by
compliance with Rule 172 under the Securities Act).
LEGAL
MATTERS
The
validity of the securities offered will be passed upon for us by Cozen O’Connor,
Washington, DC.
EXPERTS
The
financial statements incorporated in this Registration Statement by reference to
the Annual Report on Form 10-K/A for the year ended December 31, 2009 have been
so incorporated in reliance on the report (which contains an explanatory
paragraph relating to the Company's ability to continue as a going concern as
described in Note 2 to the financial statements) of PricewaterhouseCoopers LLP,
an independent registered public accounting firm, given on the authority of said
firm as experts in auditing and accounting.
MaloneBailey
LLP, an independent public accounting firm, audited certain combined Statements
of Net Assets Acquired and Liabilities Assumed of the Angel Business of Sorin
Group USA, Inc. as of December 31, 2009 and 2008, and the related combined
Statements of Revenues and Direct Expenses for the years then ended, included in
our Current Report on Form 8-K dated April 9, 2010, set forth in their report
which has been incorporated by reference, and is included in reliance upon such
report given on the authority of such firm as experts in accounting and
auditing.
INCORPORATION OF CERTAIN
DOCUMENTS
SEC rules
allow us to “incorporate by reference” into this prospectus much of the
information we file with the SEC, which means that we can disclose important
information to you by referring to those publicly available
documents. The information that we incorporate by reference in this
prospectus is considered to be part of this prospectus. The following
documents filed with the SEC are hereby incorporated by reference in this
prospectus:
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Our
Annual Report on Form 10-K/A (Amendment No. 1) for the fiscal year ended
December 31, 2009, filed with the SEC on April 9,
2010.
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Our
Quarterly Reports on Form 10-Q for the fiscal quarters ended March 31,
2010 and June 30, 2010, respectively, filed with the SEC on May 17,
and August 16, 2010, respectively.
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Our
Current Reports on Form 8-K filed with the SEC (excluding any information
which is furnished and not filed with the SEC) on April 12, 2010 (as
subsequently amended and supplemented by our Current Report on Form 8-K/A
(Amendment No.1 and Amendment No. 2 filed on June 21 and August 3, 2010
respectively); on July 1, 2010, and October 1 and 8, 2010,
respectively
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The
description of our common stock set forth in the registration statement on
Form 8-A/A filed with the SEC on May 31, 2005 and as subsequently
amended.
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We hereby
undertake to provide without charge to each person, including any beneficial
owner, to whom a copy of this prospectus is delivered, upon written or oral
request, a copy of any and all of the information that has been or may be
incorporated by reference in this prospectus. Request for such copies
should be directed to Cytomedix, Inc., 209 Perry Parkway, Suite 7, Gaithersburg,
MD 20877, Attention: Andrew Maslan, Chief Financial Officer.
Also
incorporated by reference into this prospectus are all documents that we may
file with the SEC under Sections 13(a), 13(c), 14, or 15(d) of the Exchange Act
after the date of filing of this registration statement, and until all of the
common stock to which this prospectus relates has been sold or the offering is
otherwise terminated. These documents include periodic reports, such as Annual
Reports on Form 10-K, Quarterly Reports on Form 10-Q, and current reports on
Form 8-K, as well as proxy statements. Pursuant to General Instruction B of Form
8-K, any information submitted under Item 2.02, Results of Operations and
Financial Condition, or Item 7.01, Regulation FD Disclosure, of Form 8-K is not
deemed to be “filed” for the purpose of Section 18 of the Exchange Act, and we
are not subject to the liabilities of Section 18 with respect to information
submitted under Item 2.02 or Item 7.01 of Form 8-K. We are not incorporating by
reference any information submitted under Item 2.02 or Item 7.01 of Form 8-K
into any filing under the Securities Act or the Exchange Act or into this
prospectus. Any statement contained herein or in a document incorporated or
deemed to be incorporated by reference herein shall be deemed to be modified or
superseded for purposes of this prospectus to the extent that a statement
contained herein or in any other subsequently filed document which also is or is
deemed to be incorporated by reference herein modifies or supersedes such
statement.
WHERE
YOU CAN FIND ADDITIONAL INFORMATION
We have
filed with the SEC a registration statement on Form S-3, including the exhibits,
schedules, and amendments to this registration statement, under the Securities
Act with respect to the shares of common stock to be sold in this
offering. This prospectus, which is part of the registration
statement, does not contain all the information set forth in the registration
statement. For further information with respect to us and the shares
of our common stock to be sold in this offering, we make reference to the
registration statement. Although this prospectus contains all material
information regarding us, statements contained in this prospectus as to the
contents of any contract, agreement or other document referred to are not
necessarily complete, and in each instance we make reference to the copy of such
contract, agreement, or other document filed as an exhibit to the registration
statement, each such statement being qualified in all respects by such
reference. You may read and copy all or any portion of the registration
statement or any other information, which we file at the SEC’s public reference
room at 100 F Street, N.E., Washington, DC 20549. We also file
periodic reports and other information with the SEC. You can request
copies of these documents, upon payment of a duplicating fee, by writing to the
SEC. Please call the SEC at 1-800-SEC-0330 for further information on
the operation of the public reference rooms. Our SEC filings,
including the registration statement, are also available to you on the SEC’s
website,
www.sec.gov
.
CYTOMEDIX,
INC.
Resale
of 7,866,131 shares of common stock
PROSPECTUS
November
3, 2010
You
should rely only on the information contained in this prospectus. No dealer,
salesperson or other person is authorized to give information that is not
contained in this prospectus. This prospectus is not an offer to sell nor is it
seeking an offer to buy these securities in any jurisdiction where the offer or
sale is not permitted. The information contained in this prospectus is correct
only as of the date of this prospectus, regardless of the time of the delivery
of this prospectus or the sale of these securities.
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